Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela Michelle Brust, LICSW

Individual provider Clinical Social Worker · NPI 1093014870

Angela Michelle Brust, LICSW is a Clinical Social Worker in Edina, Minnesota. Qualified in 2008, 18 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2011
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

5200 Willson Rd Ste 307
Edina, MN 55424-1344
Phone: (612) 405-5565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 — (952) 993-3307

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 19237 (MN)

Record details

NPI number1093014870
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMarch 20, 2011
Last updated in NPPESMarch 4, 2021
Certification dateMarch 4, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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